Alicia Camille Latty, M.S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2920 S 25TH St
Fort Pierce, FL 34981-5605

Phone

(772) 766-4747

Fax

(772) 323-2404

NPI assigned

Jan 21, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1477824530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MANLY AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584603",
            "telephone_number": "772-766-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815605",
            "telephone_number": "772-766-4747",
            "fax_number": "772-323-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTY",
        "first_name": "ALICIA",
        "middle_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Timothy Larocque, M.D
• Prudencio Estolero Laroya, M.D.
• Mary Larry
• Marion L Latimer
• Philana Jade Latortue
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• Mental Health Counselor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.